| New 214 Q2 | New 214 Q2 | New 214 Q2 | New 214 Q2 | New 214 Q2 | New 214 Q2 | New 214 Q2 |
| 214 Transfer Q2 | 214 Transfer Q2 | 214 Transfer Q2 | 214 Transfer Q2 | 214 Transfer Q2 | 214 Transfer Q2 | 214 Transfer Q2 |
| 310 Wireless or Earth Station Q2 | 310 Wireless or Earth Station Q2 | 310 Wireless or Earth Station Q2 | 310 Wireless or Earth Station Q2 | 310 Wireless or Earth Station Q2 | 310 Wireless or Earth Station Q2 | 310 Wireless or Earth Station Q2 |
| Company Name | Business Address | Country of Incorporation (if United States, include state of incorporation) | Principal Place of Business | General Business Type (e.g., holding company, investment firm) | Email Addresses | Related Phone Numbers |
| New 214 Q1 | New 214 Q1 | New 214 Q1 | New 214 Q1 |
| 214 Transfer Q1 | 214 Transfer Q1 | 214 Transfer Q1 | 214 Transfer Q1 |
| 310 Wireless or Earth Station Q1 | 310 Wireless or Earth Station Q1 | 310 Wireless or Earth Station Q1 | 310 Wireless or Earth Station Q1 |
| Company Name | Business Address | Principal Place of Business | Place of Incorporation |
| New 214 Q2, Q17, Q18, Q21 | New 214 Q2, Q17, Q18, Q21 | New 214 Q2, Q17, Q18, Q21 | New 214 Q2, Q17, Q18, Q21 | New 214 Q2, Q17, Q18, Q21 | New 214 Q2, Q17, Q18, Q21 | New 214 Q2, Q17, Q18, Q21 | New 214 Q2, Q17, Q18, Q21 | New 214 Q2, Q17, Q18, Q21 | New 214 Q2, Q17, Q18, Q21 | New 214 Q2, Q17, Q18, Q21 | New 214 Q2, Q17, Q18, Q21 | New 214 Q2, Q17, Q18, Q21 | New 214 Q2, Q17, Q18, Q21 | New 214 Q2, Q17, Q18, Q21 | New 214 Q2, Q17 | New 214 Q2, Q17, Q21 | New 214 Q2, Q17, Q18, Q21 | New 214 Q2, Q17, Q18, Q21 | New 214 Q2, Q17, Q18, Q21 | New 214 Q2, Q17, Q18, Q21 | New 214 Q2, Q17, Q18, Q21, Attachement G | New 214 Q21 | New 214 Q21 | New 214 Q2, Q17, Q18, Q21 |
| 214 Transfer Q2, Q17, Q18, Q21 | 214 Transfer Q2, Q17, Q18, Q21 | 214 Transfer Q2, Q17, Q18, Q21 | 214 Transfer Q2, Q17, Q18, Q21 | 214 Transfer Q2, Q17, Q18, Q21 | 214 Transfer Q2, Q17, Q18, Q21 | 214 Transfer Q2, Q17, Q18, Q21 | 214 Transfer Q2, Q17, Q18, Q21 | 214 Transfer Q2, Q17, Q18, Q21 | 214 Transfer Q2, Q17, Q18, Q21 | 214 Transfer Q2, Q17, Q18, Q21 | 214 Transfer Q2, Q17, Q18, Q21 | 214 Transfer Q2, Q17, Q18, Q21 | 214 Transfer Q2, Q17, Q18, Q21 | 214 Transfer Q2, Q17, Q18, Q21 | 214 Transfer Q2, Q17 | 214 Transfer Q2, Q17 | 214 Transfer Q2, Q17, Q18, Q21 | 214 Transfer Q2, Q17, Q18, Q21 | 214 Transfer Q2, Q17, Q18, Q21 | 214 Transfer Q2, Q17, Q18, Q21 | 214 Transfer Q2, Q17, Q18, Q21, Attachement G | 214 Transfer Q21 | 214 Transfer Q21 | 214 Transfer Q2, Q17, Q18, Q21 |
| 310 W/ES Q2, Q17, Q18, Q21 | 310 W/ES Q2, Q17, Q18, Q21 | 310 W/ES Q2, Q17, Q18, Q21 | 310 W/ES Q2, Q17, Q18, Q21 | 310 W/ES Q2, Q17, Q18, Q21 | 310 W/ES Q2, Q17, Q18, Q21 | 310 W/ES Q2, Q17, Q18, Q21 | 310 W/ES Q2, Q17, Q18, Q21 | 310 W/ES Q2, Q17, Q18, Q21 | 310 W/ES Q2, Q17, Q18, Q21 | 310 W/ES Q2, Q17, Q18, Q21 | 310 W/ES Q2, Q17, Q18, Q21 | 310 W/ES Q2, Q17, Q18, Q21 | 310 W/ES Q2, Q17, Q18, Q21 | 310 W/ES Q2, Q17, Q18, Q21 | 310 W/ES Q2 | 310 W/ES Q2, Q17, Q21 | 310 W/ES Q2, Q17, Q18, Q21 | 310 W/ES Q2, Q17, Q18, Q21 | 310 W/ES Q2, Q17, Q18, Q21 | 310 W/ES Q2, Q17, Q18, Q21 | 310 W/ES Q2, Q17, Q18, Q21, Attachement G | 310 W/ES Q21 | 310 W/ES Q21 | 310 W/ES Q2, Q17, Q18, Q21 |
| First Name | Last Name | Aliases | Company Name | Business Address (if applicable) | Country of Residence | City of Residence | State of Residence | Date of Birth (E.g. MM/DD/YYYY) | Place of Birth (E.g. State, Country) | SSN | Passport (Country) | Passport # | Citizenship | Additional Citizenship Countries | U.S. Lawful Permanent Resident (E.g. Yes/No) | Alien Number | Residence Address | Personal Cell Phone Number | Business Phone Number | Home Phone Number | Company Role/Title and/or Ownership % |
Type of Access (E.g. Read or Read/Write) | Access to: (Pick: Physical Facilities/Equipment; Customer Records; Network/Monitoring/Audit Features; Electronic Interfaces?) | Triage Question (Pick all that apply: Owners; Officers; Foreign Access; LEPOC) |
| New 214 Q33 & (Reference(c)) | New 214 Q33 & (Reference(c)) | New 214 Q33 & (Reference(c)) | New 214 Q33 & (Reference(c)) |
| 214 Transfer Q32 & (Reference(c)) | 214 Transfer Q32 & (Reference(c)) | 214 Transfer Q32 & (Reference(c)) | 214 Transfer Q32 & (Reference(c)) |
| 310 Wireless or Earth Station Q34 & Q(Reference(c)) | 310 Wireless or Earth Station Q34 & Q(Reference(c)) | 310 Wireless or Earth Station Q34 & Q(Reference(c)) | 310 Wireless or Earth Station Q34 & Q(Reference(c)) |
| Company Name | Make | Model | Software Version |
| New 214 Q33 | New 214 Q33 | New 214 Q33 | New 214 Q33 |
| 214 Transfer Q32 | 214 Transfer Q32 | 214 Transfer Q32 | 214 Transfer Q32 |
| 310 Wireless or Earth Station Q34 | 310 Wireless or Earth Station Q34 | 310 Wireless or Earth Station Q34 | 310 Wireless or Earth Station Q34 |
| Physical Location (e.g., Address) | Type (network equipment, data centers, and infrastructure)? | Owned or leased - if leased, provide details of the owner(s). | Goods & Services provided by Facility Owner(s), if leased. |
| New 214 Q33(e) | New 214 Q33(e) | New 214 Q33(e) | New 214 Q33(e) |
| 214 Transfer Q32(e) | 214 Transfer Q32(e) | 214 Transfer Q32(e) | 214 Transfer Q32(e) |
| 310 Wireless or Earth Station 34(e) | 310 Wireless or Earth Station 34(e) | 310 Wireless or Earth Station 34(e) | 310 Wireless or Earth Station 34(e) |
| Company Name | Countries from which Operations are Controlled | Nature of the Foreign Based Control | How are Operations Remotely Controlled? |
| New 214 Q20(b) | New 214 Q20(b) | New 214 Q20(c) |
| 214 Transfer Q20(b) | 214 Transfer Q20(b) | 214 Transfer Q20(c) |
| 310 Wireless or Earth Station Q20(b) | 310 Wireless or Earth Station Q20(b) | 310 Wireless or Earth Station Q20(c) |
| Addresses of locations where records will be stored | Storage Location Countries | Purpose of Location and Function within Applicant Business |
| New 214 Q20(d) | New 214 Q20(b),(d) | New 214 Q20(b),(d) | New 214 Q20(d) |
| 214 Transfer Q20(d) | 214 Transfer Q20(b),(d) | 214 Transfer Q20(b),(d) | 214 Transfer Q20(d) |
| 310 Wireless or Earth Station Q20(d) | 310 Wireless or Earth Station Q20(b), (d) | 310 Wireless or Earth Station Q20(b), (d) | 310 Wireless or Earth Station Q20(d) |
| Company Name | Addresses of locations where records will be remotely accessed/managed via electronic systems | Countries from which U.S. Records can be Remotely Accessed/Managed | How are U.S. Records Remotely Accessed? |
| New 214 Q34 | New 214 Q34 |
| 214 Transfer Q33 | 214 Transfer Q33 |
| 310 Wireless or Earth Station Q35 | 310 Wireless or Earth Station Q35 |
| Company Name | Details |
| New 214 Q35 | New 214 Q35 |
| 214 Transfer Q34 | 214 Transfer Q34 |
| 310 Wireless or Earth Station Q36 | 310 Wireless or Earth Station Q36 |
| Company Name | Services |
| New 214 Q16 | New 214 Q16 | New 214 Q16 |
| 214 Transfer Q16 | 214 Transfer Q16 | 214 Transfer Q16 |
| 310 Wireless or Earth Station Q16 | 310 Wireless or Earth Station Q16 | 310 Wireless or Earth Station Q16 |
| Government Customer | Federal, State, or Local Government? | Services Provided or to be Provided |
| File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |